Allergic to Enterprise - Stacy Johnson
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Presentation from Inspiring Enterprise 2011
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Allergic to Enterprise - Stacy Johnson
- 1. Condition Critical: Overcoming Allergic Reactions to Entrepreneurship and Enterprise in Healthcare Education. Stacy Johnson
- 13. Source: UK National Office of Statistics 2008, Annual Survey of Hours and Earnings (ASHE) Occupation Gross Annual Income 2006 2007 Nurses 21,871 23,044 School Teachers 30,428 31,340 Lawyers 49,378 50,649 Police officers 34,988 36,025 Occ. therapists 22,316 23,778 Physiotherapists 21,894 23,153 Social workers 25,259 26,306
- 19. The Public Image of the Modern Nurse?
- 20. The Public Image of the Modern Nurse?
- 35. The Healthcare Entrepreneurship Pyramid Roles of staff Proportion of staff involved in activity Talent Management Education and Training Innovators Entrepreneurs Managers Junior practitioners Support staff Senior practitioners Knowledge mobilisation infrastructure Creators of the environment in which entrepreneurship and innovation flourish: enterprising
- 41. Concept mapping and translation Level of Practice Level of Practice Professional Objectives Organisational Objectives Entrepreneurship concepts, skills and attitudes Junior Clinicians Plan and deliver best patient care Research utilisation Evidence based practice Enterprising, Resourcefulness Entrepreneurial orientation Senior Clinicians Improve patient care and outcomes Change practice Service Innovative Service improvement Sustained regeneration Incremental innovation Entrepreneurial Leadership (Clinical) Managers Cost effective service delivery Service redesign New ways of working Commissioning Income generation Renewal activity Strategic Entrep Corporate venturing Entrepreneurial Leadership
- 42. Concept mapping and translation Level of Practice Level of Practice Professional Objectives Organisational Objectives Entrepreneurship concepts, skills and attitudes Junior Practitioners Senior Practitioners Managers
- 43. Concept mapping and translation: Level of study Level of Study Individual objectives Educational/Professional objectives Entrepreneurship concepts, skills attitudes Undergraduate Get a good job Finish my course Get a good degree Employability Enterprise Resourcefulness Proactiveness Masters Finish my Masters degree Move up band Change practice Service Innovation Service improvement Radical innovation Renewal activity Corporate entrepreneurship Sustained regeneration/incremental innovation Doctoral Get my PhD Get lectureship Generate new knowledge Commercialisation of knowledge Product development Business plans
- 44. Concept mapping and translation Level of study Level of Study Individual objectives Educational /Professional objectives Entrepreneurship concepts, skills attitudes Undergraduate Masters Doctoral
- 45. Concept mapping and translation Organisational Level Level Objectives (micro) Objectives (macro) Entrepreneurship concepts, skills and attitudes
Editor's Notes
- Example from the feminist perspective She writes of how women's work is unpaid or underpaid and results in the transfer of energies to please and comfort men
- Opportunity deprivation Wages of nurses might be falling in real terms (wage rises etc)
- Annual % change in wages 5.4% Inflation RPI Primary School teachers 27,519 Paramedics 31,295 Radiographers 28,641
- The presurre form the different imperatives change over time. We have gained our indpendence for mdical practiec and oare no longer handmanidens. But the imperatives of the mangerial cutlure of the NHS has taken over. Need to cut waiting tiem and contacuin costs mane that we tytake on roles not always by choice but by force,. Etc Agenda fpr change
- Insurance and professional regulation:Baraniak example Insuracne reimbursement : USA and Germany, legislation ahs changed to allow Medicaid to reimburse nurses for servces.
- Example device development, dcootors sharing profits with Universoties, able to work privately e.g. endoscopy opportunity deprivation Insurance and professional regulation:Baraniak example Insuracne reimbursement
- Written and led by a Doctor not logical, situation as coordinator for care???
- Paradoxically, one is both made invisible and presented in a stereotypical fashion. Nursing representation by the mass media not of being entrepreneurial, immage and acceptibity by the public because of theornimage of what a nurse is and what they shoud do and earn
- Oppressed group's own experience and interpretation of social life finds little expression that touches the dominant culture, while that same culture imposes on the oppressed group its experience and interpretation of social life. Nurses’ expression of their interpretation of their own identity is less obvious
- McKenna et al describe it as a significant problems other authors describe it as endemic in Nursing workplace. Horizontal violence is non physical inter group conflict and is manifested in overt and covert behaviours of hostility (Freire 1972; Duffy 1995). It is behaviour associated with oppressed groups and can occur in any arena where there are unequal power relations, and one group's self expression and autonomy is controlled by forces with greater prestige, power and status than themselves (Harcombe 1999). It is one arm of the submissive/aggressive syndrome that results from an internalised self-hatred and low self esteem as a result of being part of an oppressed group (Glass 1997; Roberts 1996; MCCall 1995). It is the inappropriate way oppressed people release built up tension when they are unable to address and solve issues with the oppressor.
- Retention control over terms and condistion Educaition The IMA is constantly receiving enquiries from nurses leaving the NHS frustrated by being unable to practise the full role of an autonomous practitioner and provide holistic care. Figures s
- Critical theory: deconstruction, challenge Challenging of the status quo It regards specific belief claims, not primarily as propositions to be assessed for their truth content, but as parts of systems of belief and action that have aggregate effects within the power structures of society. It asks first about these systems of belief and action, who benefits? refers to the role of critical theory as a means through which to affect a critique of the ideological underpinnings of current patterns and perceptions of participation in healthcare market
- Criticism of CP: opportunity for individual teachers to simply Pedle their views Subjectiveity….. Want to promote emotion Dialogue with experts
- What is the object of my transformation? nurses; through education The system: activism through economic and reform of market in nursing services, Transformation from what to what?? Oppression to liberation Exploitation to….. Marginalsation to….. Powerlessness to….. Cultural imperialism to…
- Critical Consciousness In addition to its focus on personal liberation through the development of critical consciousness, critical pedagogy also has a more collective political component, in that critical consciousness is positioned as the necessary first step of a larger collective political struggle to challenge and transform oppressive social conditions and to create a more egalitarian society.
- |Praxis , ;reflection and doing after reflection: Already embedded in nursing practice and a core competency in nursing education configured as an ongoing, reflective approach to taking action.